Scary warnings and rational precautions: A review of the psychology of fear appeals

Abstract

Research into the effects of fear-arousal on precautionary motivation and action is reviewed. Current models do not adequately distinguish between emotional (i.e., fear arousal) and cognitive (i.e., threat perception) responses to fear appeals and, in general, are not well supported. Evidence suggesting that (i) coping appraisals are more powerful predictors of precautionary action than threat perception and that (ii) fear control processes may interfere with precautionary motivation, recommends cautious and limited use of fear appeals in health promotion. It seems likely that fear arousal is less important in motivating precautionary action than perceptions of action effectiveness and self-efficacy. Moreover, perceived personal relevance may be critical to the emotional and cognitive impact of threat information. Available findings are summarised in the form of a process model that highlights the potential complexity of fear arousal effects. Sequential measurement of fear arousal, other than by self-report, is recommended in studies seeking to clarify these effects.     

Causal attributions for heart disease: A systematic review

Abstract

The aims of this systematic literature review are to describe the pattern of attributions made for the causes of heart disease, and to determine how this pattern varies with the method by which attributions are elicited, and the respondent group.

A search yielded 47 papers and reports, containing 54 datasets. Lifestyle factors and chronic stress were the most common causes cited across all datasets. Attributions to stressors and fate or luck were more likely to be reported in studies that used interval rating scales than in studies that used dichotomous ratings. Cardiac patients were more likely to mention stressors and fate or luck as causes of heart disease; non-patients rated being overweight and hypertensive as more important

The differences observed between the responses of patients and non-patients may be due to actor - observer differences, or to a methodological difference: patients are often asked to report their own experiences whereas non-patients are asked about the general case.     

The theory of planned behaviour: Reactions and reflections

The seven articles in this issue, and the accompanying meta-analysis in Health Psychology Review [McEachan, R.R.C., Conner, M., Taylor, N., & Lawton, R.J. (2011). Prospective prediction of health-related behaviors with the theory of planned behavior: A meta-analysis. Health Psychology Review, 5, 97–144], illustrate the wide application of the theory of planned behaviour [Ajzen, I. (1991). The theory of planned behavior. Organizational Behavior and Human Decision Processes, 50, 179–211] in the health domain. In this editorial, Ajzen reflects on some of the issues raised by the different authors. Among the topics addressed are the nature of intentions and the limits of predictive validity; rationality, affect and emotions; past behaviour and habit; the prototype/willingness model; and the role of such background factors as the big five personality traits and social comparison tendency.     

Q-Coh: A tool to screen the methodological quality of cohort studies in systematic reviews and meta-analyses

The evaluation of the methodological quality of primary studies in a systematic review is a key process to enhance the likelihood of achieving valid results. When considering non-randomized designs as cohort studies, this process becomes even more critical, since these designs are more susceptible to bias than randomized controlled trials are. Taking this into account, a tool, named Q-Coh, was designed with the aim to screen the methodological quality of the primary studies with a cohort design priming specificity over sensitivity in a reasonable application time. After applying it to 21 prospective cohort studies by three raters, all domains had a moderate to good agreement, with all except one of them having statistically significant kappa values. Despite there is no gold standard for the methodological quality, arguments supporting its validity are given. Future research should assess the psychometric properties of Q-Coh in the context of real meta-analyses, evaluate the influence of the raters’ substantive and methodological expertise on these properties, and explore different ways of including the domains-based ratings of the quality provided by Q-Coh into meta-analyses.     

情绪对注意范围的影响: 动机程度的调节作用

在匹配了情绪刺激的效价和唤醒度后,检验了情绪的动机程度对注意范围的影响。研究采用Navon字母任务,通过被试对整体字母和局部字母的反应考察了注意范围的变化。结果显示,被试在中性状态下出现整体加工偏向;在低动机程度的正性和负性情绪下偏向加强,注意范围扩大;在高动机程度的正性和负性情绪下偏向减弱,注意范围缩小。因此,在同一效价内动机程度的不同仍会影响注意加工,高动机程度窄化注意范围,低动机程度反之。     

Event-related brain potentials reveal differences in emotional processing in alexithymia

ABSTRACT

The inability to recognise and describe emotions in the self is known as Alexithymia. In the present study we used event-related potentials (ERPs) to examine the locus of processing emotional differences in alexithymia. We tested men, both those scoring high (score?>?61) and controls who scored low (score?<?51) on the Toronto Alexithymia Scale-20 on an emotional face discrimination task. We assessed three ERP components: P1 (an index of early perceptual processing), N170 (an index of early facial processing) and P3 (an index of late attentional suppression). While controls showed a stronger P3 effect for angry faces relative to happy and neutral faces, Alexithymic men showed no significant differences in P3 across emotions. Alexithymic men showed delayed P1 and N170 amplitudes compared to controls. These results suggest that the locus of processing differences between alexithymic men and controls occur both early in perceptual processing and later in conscious processing.     

Emotion and Motor Control: Movement Attributes Following Affective Picture Processing

The authors investigated the impact of emotion on the performance of a square-tracing task after participants (N = 40) were exposed to pleasant (P), unpleasant (U), and neutral (N) pictures. Physiological and self-report measures indexed affective valence and arousal. In Experiment 1, greater error followed exposure to 4 consecutive U images than exposure to 4 consecutive P images. Speed of performance did not vary as a function of valence. In Experiment 2, participants viewed 1 slide per trial within a modified exposure protocol. Speed of performance varied as a function of valence; faster performance followed U relative to P stimuli. Accuracy of performance did not vary between conditions. Corresponding self-report and physiological measures generally corroborated previous evidence. Findings collectively indicated that the length of exposure to affective stimuli mediates speed and accuracy of motor performance; compared with P stimuli, U stimuli led to either increased error (short exposure) or increased speed (multiple exposures). The authors conclude that brief and extended exposures to affective pictures have direct behavioral consequences, and they discuss the implications of that finding.     

Encouraging Occupation: A Systematic Review of the Use of Life Review and Reminiscence Therapy for the Treatment of Depressive Symptoms in Older Adults

The present systematic review investigates the efficacy of both life review and reminiscence therapy interventions in the treatment of depressive symptoms in older adults. A systematic review of the literature was conducted using three databases: Cumulative Index of Nursing and Allied Health Literature (CINAHL), PubMed, and PsycINFO. Six studies met the inclusion criteria, and pertinent variables were extracted for data analysis. In all six articles, the reminiscence therapy or life review intervention was found to be effective in the treatment of depressive symptoms in older adults. These interventions are appropriate for use in occupational therapy practice, as occupational therapists are well-equipped to treat the psychosocial needs of individuals.     

The influence of emotional cues on prospective memory: a systematic review with meta-analyses

ABSTRACT

Remembering to perform a behaviour in the future, prospective memory, is essential to ensuring that people fulfil their intentions. Prospective memory involves committing to memory a cue to action (encoding), and later recognising and acting upon the cue in the environment (retrieval). Prospective memory performance is believed to be influenced by the emotionality of the cues, however the literature is fragmented and inconsistent. We conducted a systematic search to synthesise research on the influence of emotion on prospective memory. Sixty-seven effect sizes were extracted from 17 articles and hypothesised effects tested using three meta-analyses. Overall, prospective memory was enhanced when positively-valenced rather than neutral cues were presented (d?=?0.32). In contrast, negatively-valenced cues did not enhance prospective memory overall (d?=?0.07), but this effect was moderated by the timing of the emotional manipulation. Prospective memory performance was improved when negatively-valenced cues were presented during both encoding and retrieval (d?=?0.40), but undermined when presented only during encoding (d?=??0.25). Moderating effects were also found for cue-focality and whether studies controlled for the arousal level of the cues. The principal finding is that positively-valenced cues improve prospective memory performance and that timing of the manipulation can moderate emotional effects on prospective memory. We offer a new agenda for future empirical work and theorising in this area.     

Contextual interference processing during fast categorisations of facial expressions

We examined interference effects of emotionally associated background colours during fast valence categorisations of negative, neutral and positive expressions. According to implicitly learned colour–emotion associations, facial expressions were presented with colours that either matched the valence of these expressions or not. Experiment 1 included infrequent non-matching trials and Experiment 2 a balanced ratio of matching and non-matching trials. Besides general modulatory effects of contextual features on the processing of facial expressions, we found differential effects depending on the valance of target facial expressions. Whereas performance accuracy was mainly affected for neutral expressions, performance speed was specifically modulated by emotional expressions indicating some susceptibility of emotional expressions to contextual features. Experiment 3 used two further colour–emotion combinations, but revealed only marginal interference effects most likely due to missing colour–emotion associations. The results are discussed with respect to inherent processing demands of emotional and neutral expressions and their susceptibility to contextual interference.